Organization
PENNEY RETIREMENT COMMUNITY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA MARIE ENGELKES LNHA (ADMINISTRATOR)
(904) 284-8582
Entity
Organization
Contact information
Practice address
1 PAVILION PLACE, PENNEY FARMS, FL 32079-0555
(904) 284-8582
(904) 284-6259
Mailing address
PO BOX 555, PENNEY FARMS, FL 32079-0555
(904) 284-8582
(904) 284-6259
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF1325096
FL
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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